Active NPI
Cloverdale SNF Opco LLC
- Skilled Nursing Facility
- Scottsboro, AL
National Provider Identifier
1033044755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CLOVERDALE SNF OPCO LLC
- Practice address
- 412 W Cloverdale Rd
Scottsboro, AL 35768-4264 - Phone
- (256) 259-1505
- NPI assigned
- Jun 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yehuda Herz
- Title
- Managing Partner
- Phone
- (551) 795-7270
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
412 W Cloverdale Rd
Scottsboro, AL 35768-4264
Mailing address
365 Route 59 Ste 211
Airmont, NY 10952-3473
Other names 1
- Cloverdale Rehabilitation and Wellness
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781481600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781481600000",
"number": "1033044755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 ROUTE 59 STE 211",
"city": "AIRMONT",
"state": "NY",
"postal_code": "109523473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 W CLOVERDALE RD",
"city": "SCOTTSBORO",
"state": "AL",
"postal_code": "357684264",
"telephone_number": "256-259-1505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLOVERDALE SNF OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-15",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A",
"authorized_official_last_name": "HERZ",
"authorized_official_first_name": "YEHUDA",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "551-795-7270"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cloverdale Rehabilitation and Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Scottsboro, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.